ABC | Volume 112, Nº1, January 2019

Clinicoradiological Correlation Atik et al Double outlet right ventricle with noncommitted VSD and pulmonary stenosis Arq Bras Cardiol. 2019; 112(1):107-109 1. Barbero-Marcial M, Tanamati C, Atik E, Ebaid M. Intraventricular repair of double-outlet right ventricle with noncommitted ventricular septal defect: advantagesofmultiplepatches.JThoracCardiovascSurg.1999;118(6):1056-67. 2. Li S, Ma K, Hu S, Hua Z, Yan J, Pang K, et al. . Biventricular repair for double outlet right ventricle with non-committed ventricular septal defect. Eur J Cardiothorac Surg . 2015;48(4):580-7. References This is an open-access article distributed under the terms of the Creative Commons Attribution License fibrosis. Despite the maintenance of good ventricular function, this patient will probably experience more arrhythmias, diastolic heart failure, progressive hypoxemia, infective endocarditis, which are the reasons for the lack of clinical control caused by the disease evolution. On the other hand, little can be offered at this moment, from the surgical point of view, since the technique considered as adequate would be the Fontan procedure, contraindicated by the absence of hypoxia. The corrective technique would be very difficult due to the presence of the unrelated VSD and anterior aorta. Therefore, a question is raised, whether in similar cases in childhood, it would not be more convenient to attempt the correction in this age group, even with greater surgical risk. This technique, created by Barbero‑Marcial et al., 1 directs the LV to the aorta, with ensuing pulmonary stenosis relief, and it has been applied with relative success, considering the 5-year survival rate of 87.5%. 2 109